<table class="form">
    <tr>
        <th>档案号<span class="required">*</span></th>
        <td><input class="text" id="file_no" name="file_no" readonly /></td>
        <th>建档日期<span class="required">*</span></th>
        <td><input class="text" id="file_create_date" name="file_create_date" readonly /></td>
        <th>案件类型<span class="required">*</span></th>
        <td><?php echo form_dropdown('case_type', $case_types, '', 'id="case_type"'); ?></td>
    </tr>
    <tr>
        <th>申请人名称(中文)<span class="required">*</span></th>
        <td colspan="3">
            <?php echo form_dropdown('c_id', $client_options, '', 'id="c_id"'); ?>
            <input class="text" id="c_name" name="c_name" readonly />
        </td>
        <th>指定国家/地区<span class="required">*</span></th>
        <td><input class="text" id="c_country" name="c_country" /></td>
    </tr>
    <tr>
        <th>(英文)</th>
        <td colspan="3"><input class="text" id="c_name_en" name="c_name_en" readonly /></td>
        <th>具体承办人<span class="required">*</span></th>
        <td><input class="text" id="c_undertaker" name="c_undertaker" /></td>
    </tr>
    <tr>
        <th>申请人地址(中文)</th>
        <td colspan="3"><input class="text" id="c_addr" name="c_addr" readonly /></td>
        <th>国籍</th>
        <td><input class="text" id="c_nationality" name="c_nationality" /></td>
    </tr>
    <tr>
        <th>(英文)</th>
        <td colspan="3"><input class="text" id="c_addr_en" name="c_addr_en" readonly /></td>
        <th>法定代表人</th>
        <td><input class="text" id="c_legal_person" name="c_legal_person" /></td>
    </tr>
    <tr>
        <th>其他申请人信息</th>
        <td colspan="5"><input class="text" id="c_other_info" name="c_other_info" /></td>
    </tr>
    <tr><td colspan="6">&nbsp;<hr></td></tr>
    <tr>
        <th>代理人<span class="required">*</span></th>
        <td colspan="5">
            <input class="text" id="agent" name="agent" readonly />
            <?php echo form_dropdown('agent_id', $agent_options, '', 'class="hide" id="agent_id"'); ?>
        </td>
    </tr>
    <tr>
        <th>合作所</th>
        <td colspan="3">
            <input class="text" id="partner" name="partner" readonly />
            <?php echo form_dropdown('partner_id', $partner_options, '', 'class="hide" id="partner_id"'); ?>
        </td>
        <th>联系人<span class="required">*</span></th>
        <td><input class="text" id="ct_contact" name="ct_contact" /></td>
    </tr>
    <tr>
        <th>电话<span class="required">*</span></th>
        <td><input class="text" id="ct_telephone" name="ct_telephone" /></td>
        <th>传真</th>
        <td><input class="text" id="ct_fax" name="ct_fax" /></td>
        <th>邮箱</th>
        <td><input class="text" id="ct_email" name="ct_email" /></td>
    </tr>
    <tr>
        <th>邮寄地址<span class="required">*</span></th>
        <td colspan="3"><input class="text" id="ct_mailing_addr" name="ct_mailing_addr" /></td>
        <th>QQ号</th>
        <td><input class="text" id="ct_qq" name="ct_qq" /></td>
    </tr>
    <tr><td colspan="6">&nbsp;<hr></td></tr>
    <tr>
        <th>外所名称</th>
        <td colspan="3">
            <input class="text" id="foreign_partner" name="foreign_partner" readonly />
        </td>
        <th>所在国家</th>
        <td><input class="text" id="fp_country" name="fp_country" /></td>
    </tr>
    <tr>
        <th>外所地址</th>
        <td colspan="3"><input class="text" id="fp_addr" name="fp_addr" /></td>
        <th>档案号</th>
        <td><input class="text" id="fp_file_no" name="fp_file_no" /></td>
    </tr>
    <tr>
        <th>联系人</th>
        <td><input class="text" id="fp_contact" name="fp_contact" /></td>
        <th>电话</th>
        <td><input class="text" id="fp_telephone" name="fp_telephone" /></td>
        <th>传真</th>
        <td><input class="text" id="fp_fax" name="fp_fax" /></td>
    </tr>
    <tr>
        <th>邮箱</th>
        <td colspan="5"><input class="text" id="fp_email" name="fp_email" /></td>
    </tr>
</table>